Tortuosity of the internal carotid artery is rarely seen in otolaryngologic practice. It can be presented with abnormal sensation or may be asymptomatic. Diagnosis is important especially if a surgical procedure is planned and CT can be preferred as the diagnostic modality. In this case, we present a tortuous internal carotid artery, causing an oropharyngeal bulging, mimicking a mass lesion, diagnosed by computed tomography.

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